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European Heart Journal 1992 13(11):1592-1593;
Copyright © 1992 by the European Society of Cardiology.
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© 1992 The European Society of Cardiology

Endocarditis on a left atrial myxoma

J. M. TEN BERG, H. R. J. ELBERS, J. J. A. M. DEFAUW and H. W. T. PLOKKER

St Antonius Hospital Nieuwegein, The Netherlands

Received 6 December 1991; revised 13 April 1992; .

Correspondence Dr. H W. T. Plokker, Cardiologist, St Antonius Hospital, Koekoekslaan 1, 3435 CM Nieuwegein, The Netherlands

Abstract

A 55-year-old woman presented with fever and malaise. Three blood cultures were positive for Streptococcus sanguis A diagnosis of endocarditis was made and the patient was treated with intravenous penicillin and gentamicin. Endocardiography revealed a large left atrial tumour. At operation a myxoma covered by deposits of fibrin was excised. Microscopy revealed massive infiltrates of neutrophils and remnants of bacteria, indicating that this myxoma was a nest for infection.

Key Words: Left atrial myxoma • endocarditis


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